Active NPI
Gil Chairez
- Rehabilitation Practitioner
- Watsonville, CA
National Provider Identifier
1972708907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 1430 Freedom Blvd
Watsonville, CA 95076-2780 - Phone
- (831) 454-4170
- Fax
- (831) 454-4663
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
1430 Freedom Blvd
Watsonville, CA 95076-2780
Mailing address
1430 Freedom Blvd
Watsonville, CA 95076-2780
Phone (831) 454-4170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ92069Z | Other | CA | CA - SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
| ZZZ91892Z | Other | CA | CA - SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1972708907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 FREEDOM BLVD",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950762780",
"telephone_number": "831-454-4170",
"fax_number": "831-454-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 FREEDOM BLVD",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950762780",
"telephone_number": "831-454-4170",
"fax_number": "831-454-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAIREZ",
"first_name": "GIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA - SANTA CRUZ COUNTY MEDICARE GROUP PTAN#",
"identifier": "ZZZ92069Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA - SANTA CRUZ COUNTY MEDICARE GROUP PTAN#",
"identifier": "ZZZ91892Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.